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ObesityGECONCT01998750

Study to Investigate Genetic Causes of Severe Early Childhood Onset Obesity.

An observational study of Obesity, run by Columbia University at 2 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study aims to investigate genetic causes of early childhood obesity. The investigators will enroll children and adults with severe early onset obesity (BMI > 99th percentile) diagnosed prior to 6 years of age. Read more about this study

Who is it for?
Ages Up to 80 years
Conditions the study is for
Obesity
How many people
500 participants
Where
2 sitesUnited States
Study dates
Feb 2014to Dec 2030
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Up to 80 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: This study will enroll children with BMI > 99th percentile for age noted prior to 6 years of age. Current age of the child can vary from 0-21 years.

Who may be able to join

  • BMI > 99th percentile documented at age < 6 years of age

Who cannot join

  • Known genetic causes of obesity
  • Known Endocrine causes of obesity.
  • Neurologic tumor, trauma or surgery
  • Prior malignancy or transplant
  • Known autoimmune diseases
  • Edema of a known or unknown cause
  • Prolonged steroid use.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Vidhu Thaker, M.D. contact

212-851-5315

vvt2114@cumc.columbia.edu

United States2 sites, 1 recruiting
  • Boston Children's Hospital

    Boston, Massachusetts, 02115

    Active, not recruiting
  • Columbia University Medical Center

    New York, New York, 10032

    Vidhu Thaker, MD, 212-851-5315, vvt2114@cumc.columbia.edu

    Recruiting

Other trials in United States

About this study

Official title: Study to Identify Rare Genetic Variants Causing Severe Early Childhood Obesity

This study aims to investigate genetic causes of early childhood obesity.

The investigators will enroll children and adults with severe early onset obesity (BMI > 99th percentile) diagnosed prior to 6 years of age. The investigators will ask questions about the health and eating behavior of the participants, and perform a brief physical examination. The investigators will collect saliva or blood to perform genetic testing from the participants and invite family members to enroll in the study.

Read the detailed description

This is a clinical and genomic study designed to investigate monogenic causes of severe early childhood obesity.

Participants with severe early onset obesity will be identified by screening of the clinical database or referred for the study. These subjects will be invited to participate in the study. After obtaining informed consent, the investigators will obtain history on the proband and the family, and perform a brief examination in addition to collecting genetic material.

Targeted sequencing of genes associated with monogenic and syndromic forms of obesity will be performed using next-generation sequencing. In selected individuals with favorable family history, exome or whole genome sequencing will be performed. Functional analysis of newly identified variants will be performed where possible.

Conditions
Obesity
Keywords
obesity, genetics, early-onset, childhood
Medical subject headings
Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT01998750
Study groupRoleWhat they receive
Early-onset severe obesityThe study will enroll individuals with early onset severe obesity (BMI > 99th percentile noted at an age < 6 years of age). Individuals with a known history of early onset obesity are eligible, regardless of their current age.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Identification of known or novel genetic variants in genes that underlie obesity.

    Identification of known or novel genetic variants in genes that underlie obesity.

    Measured: 1.5-2 years

Secondary outcomes (1)
  1. Prevalence of melanocortin receptor 4 mutations.

    We will test the hypothesis that 1-3% of early onset obesity could be explained by carriage of mutation of monogenic obesity such as melanocortin receptor 4 in a mixed pediatric population.

    Measured: 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Dec 2013 (estimated)
  2. Study startFeb 2014
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
500 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01998750
Sponsor's protocol ID
AAAR0351
Other IDs
P00009351, 5K23DK110539-03
Acronym
GECO
Status last verified
Oct 2025
First submitted
25 Nov 2013
Last updated
21 Oct 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Deidentified data will be deposited in public databases at the end of the study

Publications

  • De Rosa MC, Chesi A, McCormack S, Zhou J, Weaver B, McDonald M, Christensen S, Liimatta K, Rosenbaum M, Hakonarson H, Doege CA, Grant SFA, Hirschhorn JN, Thaker VV. Characterization of Rare Variants in MC4R in African American and Latino Children With Severe Early-Onset Obesity. J Clin Endocrinol Metab. 2019 Jul 1;104(7):2961-2970. doi: 10.1210/jc.2018-02657.

    PubMed 30811542
  • Nigam S, Zhu M, Shoemaker AH, Gross AC, Fox CK, Thaker VV. Novel model of childhood appetitive traits in children with obesity. Int J Obes (Lond). 2025 Jun;49(6):1084-1091. doi: 10.1038/s41366-025-01747-z. Epub 2025 Mar 27.

    PubMed 40148561

Questions about this trial

What is this clinical trial studying?

An observational study of Obesity, run by Columbia University at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 21 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Vidhu Thaker, M.D. (212-851-5315, vvt2114@cumc.columbia.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Identification of known or novel genetic variants in genes that underlie obesity. (time frame: 1.5-2 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01998750, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Oct 2025.

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